Complaint Investigation Report

(Page 2) Report continued from LIC 9099...

LPA collected a copy of the on-the-job training logs, Identification and Emergency Information and conducted a short interview with the Administrator at 2:11pm. On 05/22/2025 starting at 10:02 a.m. LPA Mosley conducted the entrance interview and a brief physical plant tour to ensure there were no immediate health and safety concerns and facility is in compliance with Title 22 Regulations. Starting at 10:40 a.m. LPA conducted an in-person interview with two (2) staff, two (2) clients of which one (1) resided at the facility between 2015 - 2020, starting at 12:44 p.m., conducted telephonic interviews with North Los Angeles County Regional Center (NLACRC), Community Service Specialist (CSS) Gabriela Pinzon and Resident #1 (R1), inspected the kitchen/ food service area and supply closet, a record review and audit on client files, and obtained copies of pertinent documents relevant to the investigation.

During today’s visit, starting at 10:05 a.m. LPA conducted the entrance interview and a brief physical plant tour to ensure there are no immediate health and safety concerns and facility is in compliance with Title 22 Regulations.

On the allegation Staff made inappropriate comments towards residents it is the concern of the reporting party (RP) that between 2015 - 2020 facility staff told residents including R1 “Don’t tell the LPA’s anything, or we will deduct money from your PNI to pay for any deficiencies and it will be your fault.” and “It’s all in your head. Your mentally ill”. To investigate this complaint, LPA conducted in-person interviews with two (2) staff, two (2) clients of which one (1) resided at the facility between 2015 - 2020, telephonic interviews with NLACRC, CSS and R1 who no longer resides at the facility, conducted a record review and audit on client files including PNI funds. Interviews with staff revealed that they are unaware of any staff prior and now making inappropriate comments towards clients. Staff are unaware of any staff telling any of the clients including R1 “Don’t tell the LPA’s anything, or we will deduct money from your PNI to pay for any deficiencies and it will be your fault.” and “It’s all in your head. Your mentally ill”. Staff deny any knowledge or participation in making inappropriate comments towards clients. Interviews with clients who were at the facility between 2015 – 2020 state they are unaware of staff telling them “Don’t tell the LPA’s anything, or we will deduct money from your PNI to pay for any deficiencies and it will be your fault.” and “It’s all in your head. Your mentally ill” and staff did not say that to them. Furthermore, clients are unaware of any the staff saying, “Don’t tell the LPA’s anything, or we will deduct money from your PNI to pay for any deficiencies and it will be your fault.” and “It’s all in your head. Your mentally ill”. to any other client at the home.